Dental Safari Logo

Date: January 15, 2021 - Harrisburg Middle School

Dental Safari will be at Harrisburg Schools in January of 2021.  Dental Safari will be providing dental exams, cleanings, fluoride treatments and sealants as needed for students in all grades PreK-12th grade to those who wish to participate.  The State of Illinois requires a dental exam to  be on file for all K, 2nd, 6th and 9th graders. The exam provided will fulfill that requirement.  To sign up, please visit  www.dentalsafariforms.com and complete the online form directly from your smart device.  

Printable Consent Form: https://5il.co/g8kc  

Online Consent Form: https://secure.dentaleshare.com/patientform/6670-920/patient-form.html

QR Code: